C is actually irrelevant. It is the death rate that is of concern here. Death rate = # cancer patients died / # all cancer patients Risk = # people who get cancer / # people in the city High risk does not indicate high death rate. High risk is related to the cause of the cancer, genetic or environmental. Even if the risk of getting the cancer is high, the death rate can be low if the cancer is mild form or the treatment is well established. So C states a fact of truth that poor health condition does not necessarily increase the risk of the cancer. But it does not explain why the good health condition in R does not help decrease its death rate. B states that in general, the age at which people get cancer is higher than the average life expectancy of T city. That means people in T city do not live that long to get the cancer, probably because the poor health condition there causes people to die of other disease before the age that most people can get prostate cancer. In contrast, in city R, because people enjoy better health conditions, and hence live longer until the age when they are prone to get prostate cancer.
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